Individual provider · Type 1 NPI
Larell C. Van Dyke, DDS
General Practice Dentistry · Pleasant Grove, UT
NPI number
1114961620
Active
Practice location
610 Loader Dr
Pleasant Grove, UT 84062-3116
Mailing address
PO Box 1079
Pleasant Grove, UT 84062-1079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 133101-9921 (UT) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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- Richard P. Anderson, DDSGeneral Practice Dentistry Pleasant Grove, UT NPI 1265558605
- Gavin Trevor Smith, DDSGeneral Practice Dentistry Pleasant Grove, UT NPI 1326255993
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About NPI 1114961620
Larell C. Van Dyke, DDS's National Provider Identifier is 1114961620, issued on Jun 15, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pleasant Grove, UT. The record was last updated on Jul 13, 2026.